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Updated: Jun 23, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Current systemic therapy for metastatic melanoma
1St Luke's Cancer Center, University of Pennsylvania, Bethlehem, PA, USA. agarwas@slhn.org
Abstract:
Metastatic melanoma remains a lethal disease with a long-term remission rate of less than 10%. Despite many years of research, there has not been a new drug approved in this disease in over two decades. Single-agent chemotherapy is palliative in some patients and there is no advantage of combination chemotherapy or chemo-immunotherapy in randomized trials. High-dose bolus IL-2 produces some long-term remissions and is available for highly selected individuals at selected centers in the USA but is impractical for most patients. Research is ongoing in exploring novel immunotherapeutic and targeted approaches. The status of recently completed and ongoing trials is discussed in this review.
Insights
Metastatic melanoma has few effective treatments, with limited long-term remission rates. Ongoing research focuses on novel immunotherapies and targeted treatments for this lethal skin cancer.
Area of Science:
- Oncology
- Immunology
- Dermatology
Background:
- Metastatic melanoma is a deadly cancer with less than 10% long-term remission.
- No new drugs have been approved for metastatic melanoma in over 20 years.
- Current treatments like chemotherapy and chemo-immunotherapy show limited efficacy in trials.
Purpose of the Study:
- To review the current status of treatments for metastatic melanoma.
- To discuss recently completed and ongoing clinical trials.
- To explore novel immunotherapeutic and targeted approaches.
Main Methods:
- Literature review of completed and ongoing clinical trials.
- Analysis of treatment efficacy and patient outcomes.
- Discussion of novel therapeutic strategies.
Main Results:
- High-dose interleukin-2 (IL-2) offers long-term remission in select patients but is impractical for most.
- Chemotherapy and chemo-immunotherapy have not demonstrated significant advantages in randomized trials.
- Research is actively exploring new immunotherapeutic and targeted treatment options.
Conclusions:
- Metastatic melanoma treatment remains challenging with limited therapeutic options.
- Novel immunotherapies and targeted therapies represent promising avenues for future research.
- Continued investigation into clinical trials is crucial for advancing treatment strategies.
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